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Child's Nervous System

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01-06-2011 | Original Paper

Neuroendoscopy in the management of pineal tumors

Authors: Tai-Tong Wong, Hsin-Hung Chen, Muh-Lii Liang, Yu-Shu Yen, Feng-Chi Chang

Published in: Child's Nervous System | Issue 6/2011

Abstract

Introduction

Endoscopy has been applied for the management of pineal tumors and the associated obstructive hydrocephalus. The techniques include endoscopic third ventriculostomy (ETV), endoscopic biopsy, and endoscopic-assisted open surgery of tumor in selected cases. The purpose of this study is to report our experience and techniques of endoscopic surgeries for pineal tumors in children.

Methods

This is a retrospective review of 36 ETVs, 25 endoscopic transventricular biopsies (ETB), 2 endoscopic transnasal transsphenoid biopsies, and 5 endoscopic-assisted open resections of pineal tumors.

Results

One patient died of delay tumor hemorrhage after ETV and ETB were excluded. With a mean follow-up period of 5.4 years, ETV failure occurred in 7 of 35 patients with long-term success rate of 80.0%. Histological diagnosis was established in 21 of 25 (84.0%) patients through ETBs. Tissue diagnosis was obtained in two selected patients with bifocal germ cell tumors by endsocopic transnasal transsphenoid approach to the intrasellar lesion. Direct radical resections were achieved in four of five selected patients of pineal tumors with hydrocephalus by endoscopic-assisted open surgery.

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Title: Neuroendoscopy in the management of pineal tumors
Authors: Tai-Tong Wong
Hsin-Hung Chen
Muh-Lii Liang
Yu-Shu Yen
Feng-Chi Chang
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 6/2011
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-010-1325-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Neuroendoscopy in the management of pineal tumors

Abstract

Introduction

Methods

Results

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

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